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CompletedNCT07788235DIAB-PDUpdated Aug 26, 2026

Diabetes and Permanent Disabilities

An observational study in Diabetes and Diabetes (Insulin-requiring, Type 1 or Type 2), sponsored by Assuta Medical Center. Completed at 2 sites in Israel. Per ClinicalTrials.gov, last updated 2026-08-26.

Sponsored by Assuta Medical Center · Observational

Study type
Observational
Model
Case-control
Time perspective
Retrospective
Enrollment
450,000
Sex
All
01

Study summary

This study examines permanent disability related to diabetes using routinely collected data from the National Insurance Institute of Israel.

The study will evaluate how often diabetes is recorded among people who have been granted permanent disability and whether the frequency and severity of diabetes-related disability differ by geographic area and over time. It will also examine the distribution of disability according to the statutory level of diabetes-related impairment.

Data from 2020 through 2025 will be analyzed. The study is observational and retrospective, meaning that it uses information that has already been collected for administrative purposes. No participants will receive an intervention, medication, or additional medical examination as part of the study.

The main goals are to describe national and regional patterns of diabetes-related permanent disability, identify changes over time, and determine whether meaningful geographic differences exist. The findings may help improve understanding of the burden of diabetes-related disability and support future health care, prevention, rehabilitation, and social-policy planning.

Read the detailed description

This retrospective observational study will evaluate the burden and distribution of diabetes-related permanent disability using administrative records from the National Insurance Institute of Israel for the years 2020-2025.

The analysis will include individuals with recognized permanent disability and will identify records in which diabetes is included among the conditions contributing to the disability determination. Diabetes-related disability will be characterized according to the statutory impairment categories used by the National Insurance Institute. Geographic variation will be examined across the major administrative districts, together with changes in the number and proportion of diabetes-related disability records over time.

The study will assess temporal and regional patterns in diabetes-related permanent disability and explore whether the distribution of disability severity differs between geographic areas or study years. Where appropriate, rates, proportions, comparative measures, and statistical tests of geographic and temporal heterogeneity will be used to describe these differences.

Because the study is based exclusively on previously collected administrative data, participants will not undergo additional examinations, interventions, or changes in medical care. The study is intended to provide population-level evidence regarding the social and disability burden associated with diabetes and to identify geographic or temporal differences that may be relevant to prevention strategies, health-service planning, rehabilitation, and disability policy.

02

Conditions studied

  • Diabetes
  • Diabetes (Insulin-requiring, Type 1 or Type 2)

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03

In context

Diabetes Mellitus

8,290 studies on the registry are indexed under Diabetes Mellitus; 1,077 are open to participants now.

This study's enrollment of 450,000 is above the median of 246 across 1,936 observational studies indexed under Diabetes Mellitus.

Browse Diabetes Mellitus studies →

Lead sponsor

Assuta Medical Center is the lead sponsor of 43 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Temporary disability determinations without recognition of permanent disability.

Records outside the predefined study period. Records with insufficient or incomplete information for classification of diabetes-related disability or geographic district.

Duplicate administrative records, when identified.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Individuals with a permanent disability determination recorded by the National Insurance Institute of Israel between January 1, 2020 and December 31, 2025.

Records containing sufficient information to determine whether diabetes mellitus contributed to the permanent disability assessment.

For diabetes-specific analyses, individuals with diabetes mellitus documented as a recognized condition contributing to permanent disability.

Exclusion criteria

Exclusion Criteria:

-

05

Study design

Observational model
Case-control
Time perspective
Retrospective
Enrollment
450,000 participants (actual)
Patient registry
No

Groups and cohorts

  • Diabetes and co-morbidities

    All individuals with a recognized permanent disability recorded by the National Insurance Institute of Israel between 2020 and 2025 will constitute the study population. Within this population, records in which diabetes mellitus is documented as a condition contributing to the permanent disability determination will be identified and analyzed. Diabetes-related disability will be classified according to the applicable statutory impairment categories. Geographic and temporal patterns will be evaluated across administrative districts and study years. This is a retrospective observational study based on routinely collected administrative data; no intervention, treatment, or additional clinical assessment will be performed as part of the study.

06

What researchers measure

Primary outcomes

  1. Diabetes co-morbidities

    Proportion of permanent-disability records in which diabetes mellitus is recognized as a condition contributing to the permanent disability determination, overall and by geographic district.

    Time frame: 8 years

Secondary outcomes

  1. diabetes-related permanent disability severity

    Distribution of diabetes-related permanent disability according to statutory diabetes impairment categories, compared across geographic districts and calendar years.

    Time frame: 8 years

07

Study locations

2 sites
  • Assuta Medical Center
    Rishon LeZiyyon, 7526557, Israel
  • Israel National Insurance Institute
    Rishon LeZiyyon, 7526557, Israel
08

References and documents

Publications

  • Herquelot E, Gueguen A, Bonenfant S, Dray-Spira R. Impact of diabetes on work cessation: data from the GAZEL cohort study. Diabetes Care. 2011 Jun;34(6):1344-9. doi: 10.2337/dc10-2225. Epub 2011 May 11. PubMed 21562323 ↗
  • Nexo MA, Pedersen J, Cleal B, Bjorner JB. Increased risk of long-term sickness absence, lower rate of return to work and higher risk of disability pension among people with type 1 and type 2 diabetes mellitus: a Danish retrospective cohort study with up to 17 years' follow-up. Diabet Med. 2020 Nov;37(11):1861-1865. doi: 10.1111/dme.14203. Epub 2019 Dec 17. PubMed 31811666 ↗
  • Ervasti J, Virtanen M, Pentti J, Lallukka T, Tinghog P, Kjeldgard L, Mittendorfer-Rutz E, Alexanderson K. Work disability before and after diabetes diagnosis: a nationwide population-based register study in Sweden. Am J Public Health. 2015 Jun;105(6):e22-9. doi: 10.2105/AJPH.2015.302646. Epub 2015 Apr 16. PubMed 25879142 ↗
  • Breton MC, Guenette L, Amiche MA, Kayibanda JF, Gregoire JP, Moisan J. Burden of diabetes on the ability to work: a systematic review. Diabetes Care. 2013 Mar;36(3):740-9. doi: 10.2337/dc12-0354. No abstract available. PubMed 23431092 ↗
  • Wong E, Backholer K, Gearon E, Harding J, Freak-Poli R, Stevenson C, Peeters A. Diabetes and risk of physical disability in adults: a systematic review and meta-analysis. Lancet Diabetes Endocrinol. 2013 Oct;1(2):106-14. doi: 10.1016/S2213-8587(13)70046-9. Epub 2013 Jul 24. PubMed 24622316 ↗

Individual participant data

Plan to share: No — Individual participant data will not be shared because the study is based on administrative records provided by the National Insurance Institute of Israel under institutional, ethical, and data-protection restrictions. The investigators are not authorized to distribute individual-level data to third parties. Aggregated, non-identifiable study results may be reported in publications and scientific presentations.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2018 to primary completion in Dec 2025, 95 months.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 22, 2026
First posted
Aug 26, 2026
StartActual
Jan 1, 2018
Primary completionActual
Dec 31, 2025
CompletionActual
Jan 31, 2026
Last update
Aug 26, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07788235
Lead sponsor
Assuta Medical Center
Responsible party
Sergio Gabriel Susmallian (Medicine doctor, Assuta Medical Center) — Principal investigator
First posted
Aug 26, 2026
Start date
Jan 1, 2018
Primary completion
Dec 31, 2025
Completion
Jan 31, 2026
Last update
Aug 26, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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